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Tag: Quality

ALWAYS Check Two Identifiers – In a Hospital or a Casino

ALWAYS Check Two Identifiers – In a Hospital or a Casino

In hospitals, there’s a big emphasis on healthcare professionals always checking TWO patient identifiers to help avoid getting the wrong patient. You might have two patients with the same name, so you should also check the birth date (since it’s less likely to have two people with the same name and birth date… but not […]

By August 14, 2013 0 Comments Read More →
New Website: AskMeIf.com, Buttons That Put the Quality Burden on Customers

New Website: AskMeIf.com, Buttons That Put the Quality Burden on Customers

I’ve been writing for a long time  that I think it’s inappropriate and ineffective to ask patients and families to inspect or police hand hygiene in hospital settings. It’s the job of healthcare leaders to create systems that include enough time for nurses, doctors, and others to properly practice hand hygiene in the name of […]

Rather than Blaming Employees, Managers Must Take Responsibility for Problems – in a Taco Joint, a Hospital, or a Factory

Rather than Blaming Employees, Managers Must Take Responsibility for Problems – in a Taco Joint, a Hospital, or a Factory

I published a piece on Monday over at LinkedIn as part of their “Influencers” series: Rather than Blaming Employees, Managers Must Take Responsibility for Problems – in a Taco Joint, a Hospital, or a Factory Please check it out and feel free to comment there or here on the blog… The piece starts: When any […]

My Article on Lean Healthcare, Employee & Patient Safety in QHSE Focus

My Article on Lean Healthcare, Employee & Patient Safety in QHSE Focus

QHSE Focus, an iPad magazine, asked me to contribute a piece on Lean healthcare. They published my piece titled, “Employee & Patient Safety: The Only Moral Place to Start with Lean in Healthcare.” You can read a PDF of the article, thanks to the publishers at QHSE Focus. The PDF also contains the table of […]

Service and Quality Start with Who?

Service and Quality Start with Who?

A Lean thinking friend’s wife had emergency surgery (she is going to be fine) and my friend sent some pictures of Lean-related things he saw at the hospital. The good included: Sheets posted on the wall to get staff input on some proposed process changes In-room patient info whiteboards that were actually being used and […]

Toyota’s Jamie Bonini on Organizational Culture

Toyota’s Jamie Bonini on Organizational Culture

Last week at the Lean Healthcare Transformation Summit, I really enjoyed the presentation by Jamie Bonini,  General Manager of the  Toyota Production System Support Center (TSSC). Jamie started his career at Chrysler (where he knew Jamie Flinchbaugh, a good friend of this blog) and both Jamies, like me, are graduates of the MIT Leaders for […]

Negligent People or a Bad System Leading to Surgical Errors?

Negligent People or a Bad System Leading to Surgical Errors?

A woman has the wrong side of her brain operated on. The headline features the hospital’s name and the surgeon’s name. It seems the “name, blame, and shame” process has begun. SSM Health Care St. Louis, Dr. Armond Levy face lawsuit after wrong-side brain surgery In complex systems, like healthcare, is it overly simplistic to […]

Apple Expected 10% Bad iPhones from Foxconn?

Apple Expected 10% Bad iPhones from Foxconn?

I’d read before that Apple’s supplier (Foxconn) was having trouble assembling iPhone 5s to Apple’s standards… but this article contains some shocking stats: “Apple Returns Millions of Defective iPhone 5 Smartphones.” Millions… 5 to 8 million defective phones returned. Foxconn has only been able to achieve an 80% quality rating… suggesting 2 in 10 have […]

Shorter MD Intern Work Hours – Quality Has Gotten Worse (Unless it Hasn’t)

Shorter MD Intern Work Hours – Quality Has Gotten Worse (Unless it Hasn’t)

In recent years, there’s been a movement away from having first-year residents work such long grueling hours – 24 hour shifts or longer, multiple days in a row on call, etc. The idea was that fatigued residents were making poor decisions and mistakes, leading to patient harm. It seems reasonable, since who performs really well […]

Lean Healthcare is About Quality – a Falsehood, a Wise CEO, and JAMA Data

Lean Healthcare is About Quality – a Falsehood, a Wise CEO, and JAMA Data

I  always get annoyed when people spread the false dichotomy of “Lean is about efficiency and Six Sigma is for quality.” Replace the word “efficiency” with “speed” or “flow” and it’s still wrong. Here is an example of this falsehood in a book from a major publisher… this author refers to Lean addressing the first […]

Parody Video: So God Made a Quality Manager

Kudos to Mike Micklewright  for putting together this clever parody of the Chrysler ad that aired during the Super Bowl – Paul Harvey’s “So God Made a Farmer.” Here is “So God Made a Quality Manager”: My podcasts with Mike: #92: (6/3/10) Mike Micklewright,  Out of Another @#&*% Crisis! #43: (5/19/08)  Mike Micklewright  “What Would […]

Podcast #168 – Carolyn McCulley, “Breaking the Wall of Silence”

Podcast #168 – Carolyn McCulley, “Breaking the Wall of Silence”

Please upgrade your browser MP3 File (run time 26:21) My guest for episode #168 is Carolyn McCulley, from CityGate Films, and  she is a co-director and producer of the upcoming documentary called “Breaking the Wall of Silence.” Through March 31, you can sponsor this project through the Kickstarter website (with a minimum contribution of $15) […]

Waste in Healthcare –  Flushing Money Down the Toilet

Waste in Healthcare – Flushing Money Down the Toilet

As a reminder, I am giving a free Gemba Academy webinar tomorrow (Tuesday 3/12) on “Stories about the Eight Types of Waste in Healthcare.” Click here to learn more and sign up. I’m going to tell some stories from my own work and other stories that have made the news about different forms of waste […]

What Makes a Person Clean Drinking Glasses with Pledge? A Bad System

What Makes a Person Clean Drinking Glasses with Pledge? A Bad System

“A bad system, will defeat a good person, every time.” — W. Edwards Deming Would you polish drinking glasses at home with the furniture cleaner Lemon Pledge? Of course not – it’s got to be poisonous or at least harmful. Would you use Lemon Pledge to polish the glasses if you were a hotel housekeeper? […]

By February 18, 2013 2 Comments Read More →
The IOM Asks “What’s Possible in Healthcare?”

The IOM Asks “What’s Possible in Healthcare?”

Last year, the Institute of Medicine released its latest report titled, “Best Care at Lower Cost: The Path to Continuously Learning Health Care in America.” The report endorsed Lean as one strategy for improving the problems in our health care systems around the world. From the full report (available as a free PDF download, with […]

By January 27, 2013 1 Comments Read More →
My Audio Interview and Journal Article for ASQ on “Healthcare Kaizen”

My Audio Interview and Journal Article for ASQ on “Healthcare Kaizen”

Thanks to ASQ for posting an audio interview they did with me last month about my book (with Joe Swartz),  Healthcare Kaizen: Engaging Front-Line Staff in Sustainable Continuous Improvements. Listen to the interview (MP3 file – 14 minutes) ASQ also posted a free link (registration probably required) to the journal article that Joe and I […]

By January 10, 2013 2 Comments Read More →
Dr. Gary Kaplan’s Piece on Lean for the Institute of Medicine

Dr. Gary Kaplan’s Piece on Lean for the Institute of Medicine

Here is a commentary written by Gary S. Kaplan, MD, the CEO of Virginia Mason Medical Center: “The Lean Approach to Health Care: Safety, Quality, and Cost.” More than a decade ago, Kaplan and the team at VMMC realized they had to focus “on three things: 1) the safety of patients while in our care; […]

By November 28, 2012 4 Comments Read More →

A Lean Thinker Watches the Documentary “Escape Fire” – A Review

Last week, while flying back from my trip to Japan, I watched a video that had been recommended to me a few times (including by my local San Antonio IHI Open School friends): “Escape Fire: The Fight to Rescue American Healthcare.” It’s available on different video download / streaming services, like Amazon and iTunes. The […]

By November 27, 2012 0 Comments Read More →